BERNICE FORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285597

License Status

NOT RENEWED

Business

First Name

BERNICE

Last Name

FORT

Business Name

BERNICE FORT

Original Issue Date

10/31/1994

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021